Incidence and characteristics of spinal injuries in the victims of intimate partner violence (IPV)

Abstract

Purpose To describe the incidence and patterns of the spinal injuries in the victims of physical IPV. Materials and methods With institutional review board (IRB) approval, we retrospectively reviewed patients referred to our institution's domestic violence intervention and prevention program with a diagnosis directly related to physical abuse between January 2013 and June 2018. Electronic health records and radiology reports were reviewed for all patients. Results A total of 21/688 (3%) IPV patients with 41 vertebral injuries were identified. The study population comprised of 19/21 (90%) females. Median age of the included patients was 43 years with a range of 21-72 years. All vertebral injuries were AO type A spinal injuries. Upper lumbar spine (L1 and L2) was the most common level of injury followed by upper to mid-thoracic spine. The reported mechanism of the injury was IPV in 8/21 (38.0%), fall in 8/21(38.0%), and incidental in 5/21 (24.0%). Ten out of 21 (48%) patients had concomitant injuries, most commonly to the craniofacial region 5/21 (23%). Psychiatry history was positive in 17/21 (81%), and substance abuse was positive in 15/21 (71%) of the patients. Conclusion Incidence of spinal injuries is relatively low in IPV with morphologic AO type A injury being the most common type of injury and the upper lumbar spine being the most common level of injury.

Há correlação entre o crescimento de ocorrências por lesão corporal dolosa e internações hospitalares por quedas? Uma análise entre 2016 e 2020, no estado de São Paulo, com destaque para o período da COVID-19

“…A proposta deste estudo foi analisar temporalmente, destacando o período da pandemia de COVID-19, em que houve isolamento social e, consequentemente, maior convívio de casais em domicílio, a correlação entre as ocorrências de lesão corporal dolosa e as internações hospitalares por quedas, visto que, trata-se de uma caracterização e denominação para violência doméstica em mulheres, culminando em subnotificação dos casos (Giannakopoulos & Reijnders, 2015;Emezue, 2020;Watane et al, 2021).…”

“…Outr qued mesmo niv colis empurrao outr pess, W07 Queda de uma cadeira, W08 Queda de outr tipo de mobilia, W10 Queda em ou de escadas ou degraus, W18 Outr quedas no mesmo nível"). A faixa etária selecionada foi de 20 a 59 anos, dado o fato de ser a idade com maior predomínio de VPI, além de ocorrer mais quedas acidentais em crianças e idosos (Watane et al, 2021;Appeadu & Bordon, 2022). Research, Society and Development, v. 11, n. 11, e04111133268, 2022 (CC BY 4 • Gestão hospitalar: Números de óbitos; Taxa de mortalidade; média de dias de permanência no hospital;…”

“…Mais especificamente, a VPI é caracterizada por lesões corporais dolosas, com predomínio para regiões de cabeça e pescoço, podendo também acometer outras partes do corpo da mulher (de Macedo Bernardino et al, 2018). Entretanto, a subnotificação tanto policial, quanto em sistemas de saúde, é frequentemente encontrada, podendo ser denominada e/ou caracterizada por outro preditivo, como a queda (Giannakopoulos & Reijnders, 2015;Watane et al, 2021). Isso porque, segundo pesquisa realizada em 2017 pelo DataSenado, no Brasil, cerca de 62% das mulheres não denunciam as agressões sofridas por medo de seus agressores, enquanto 32% não denunciam as violências pois dependem financeiramente do agressor (Brasil, 2017).…”

Injury Patterns and Associated Demographics of Intimate Partner Violence in Older Adults Presenting to U.S. Emergency Departments

“…This position, however, exposes the spine and posterior ribs to injury. Although the spine is not a common site of IPV in younger victims, a long-term perpetrator could potentially avoid known sites and target the spine and back area (Watane et al, 2020). This can also explain a relatively lower percentage of head and neck injuries as the experienced abusers might avoid hitting these exposed areas.…”

Diagnostic Value of Magnetic Resonance Imaging Scan, Multislice Spiral Computed Tomography Three‐Dimensional Reconstruction Combined with Plain Film X‐Ray in Spinal Injuries

“…Spinal injuries, which result from indirect or direct external forces, are a common type of injury in the clinic [ 1 ]. Because of the complex anatomical structure, spinal injuries can cause curvature changes, displacement of fracture fragments, ligamentous injuries, soft tissue changes around the fractured vertebral bodies, etc., and for severe cases who are complicated with spinal cord injury (SCI), their movement, reflexes, and sphincters below the injury plane will be impaired [ 2 , 3 ]. With the lifestyle changes of Chinese residents, the cause of injury to the spine has gradually increased, and the situation of spinal fractures is becoming more complex, so an accurate diagnosis of the site and type of spinal injuries in patients is beneficial to orthopedic physicians to develop the corresponding treatment plan, which is of great importance to reduce the disability and mortality of patients [ 4 ].…”